Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Comparative Study between Elastic Nail Versus Plates and Screws in the Treatment of Diaphyseal Both Bone Forearm Fracture in Children


Affiliations
1 Lecturer, Iraqi Board for Medical Specializations, Iraq
2 Asst. Prof., College of Medicine, University of Erbil, Erbil, Iraq
     

   Subscribe/Renew Journal


Objective: Compare between titanium flexible nail and plate fixation for fracture both radius and ulna regarding the operation time, time of union, functional outcome and complications for each method. Materials and Method: A prospective comparative study, involved 44 children with displaced fractures of the radius and ulna were reviewed. Group1; (23 patients)underwent closed reduction-intramedullary fixation. Whereas, Group2; (21 patients)underwent open reductioninternal fixation with plates. Patients were followed up for 24 weeks. Results: Both treatments achieved excellent clinical outcomes and union rate, flexible intramedullary nailing showed better cosmoses, shorter operating and discharge times but the disadvantage is radiation exposure. Conclusion: Both titanium elastic nail and compression plates and screws can be expected to yield excellent results and are proper for treating pediatric forearm shaft fractures. Intramedullary nailing was safe, effective, and easy to do in the management of both-bone forearm shaft fractures in children.

Keywords

Forearm shaft, fracture, titanium elastic nail, plates, scores, Price score system
Subscription Login to verify subscription
User
Notifications
Font Size


Abstract Views: 154

PDF Views: 0




  • Comparative Study between Elastic Nail Versus Plates and Screws in the Treatment of Diaphyseal Both Bone Forearm Fracture in Children

Abstract Views: 154  |  PDF Views: 0

Authors

Farouk Makkie Abdulkareem
Lecturer, Iraqi Board for Medical Specializations, Iraq
Las Hwaizi
Asst. Prof., College of Medicine, University of Erbil, Erbil, Iraq

Abstract


Objective: Compare between titanium flexible nail and plate fixation for fracture both radius and ulna regarding the operation time, time of union, functional outcome and complications for each method. Materials and Method: A prospective comparative study, involved 44 children with displaced fractures of the radius and ulna were reviewed. Group1; (23 patients)underwent closed reduction-intramedullary fixation. Whereas, Group2; (21 patients)underwent open reductioninternal fixation with plates. Patients were followed up for 24 weeks. Results: Both treatments achieved excellent clinical outcomes and union rate, flexible intramedullary nailing showed better cosmoses, shorter operating and discharge times but the disadvantage is radiation exposure. Conclusion: Both titanium elastic nail and compression plates and screws can be expected to yield excellent results and are proper for treating pediatric forearm shaft fractures. Intramedullary nailing was safe, effective, and easy to do in the management of both-bone forearm shaft fractures in children.

Keywords


Forearm shaft, fracture, titanium elastic nail, plates, scores, Price score system



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F194977